EOD Mets
Notes
**Note 1:** **LDH and Metastatic disease**
* For cases with positive metastases, Serum LDH is an additional data item that is predictor of survival outcome.
* Serum LDH is coded in data item LDH (Lactate Dehydrogenase) Level [#3869]
**Note 2:** **Distant metastasis**
* Use code 70 when the only information is “distant metastasis, NOS,” and there is no documentation regarding the specific metastases.
* If there are specific metastasis documented that are not listed in codes 10, 20, 30, or 40, assign code 50 for “other specified distant metastasis.”
Code |
Description |
SS2018 M |
00 |
No distant metastasis
Unknown if distant metastasis |
NONE |
10 |
Distant lymph node(s), NOS
- Axillary (lower trunk)
- Femoral (cephalad/caudal) (upper trunk)
- Iliac (leg/hip) |
D |
20 |
Distant metastasis (excluding Lung, CNS)
* Bone (excluding contiguous extension)
* Skeletal muscle (excluding contiguous extension)
* Skin or subcutaneous tissue beyond regional lymph nodes
* Underlying cartilage (excluding contiguous extension)
WITH or WITHOUT distant lymph node(s) (code 10) |
D |
30 |
Lung metastasis
* WITH or WITHOUT metastasis in codes 10 or 20 |
D |
50 |
Distant metastasis to non-CNS visceral sites
* Visceral metastasis, NOS
* Other specified metastases
* Carcinomatosis
WITH or WITHOUT metastasis to sites in codes 10, 20 or 30 |
D |
60 |
CNS Metastasis
* WITH or WITHOUT metastasis in codes 10, 20, 30, or 50 |
D |
70 |
Distant metastasis, NOS |
D |
99 |
Death Certificate Only |
U |
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(2) Young JL Jr, Roffers SD, Ries LAG, Fritz AG, Hurlbut AA (eds.). **SEER Summary Staging Manual-2000: Codes and Coding Instructions**, National Cancer Institute, NIH Pub. No. 01-4969, Bethesda, MD, 2001.
(3) Collaborative Stage Work Group of the American Joint Committee on Cancer. **Collaborative Stage Data Collection System User Documentation and Coding Instructions, version 02.05**. American Joint Committee on Cancer (Chicago, IL)
(4) Gress, D.M., Edge, S.B., Gershenwald, J.E., et al. **Principles of Cancer Staging**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017
(5) Gershenwald, J.E., Scolyer, R.A., et al. **Melanoma of the Skin**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017